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BACDS Fall Ball
"A Purcell Ball"

November 19, 201

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Welcome to the online registration form.  You can fill it out and transmit a copy to the Fall Ball registrar (you'll get a copy via email).  However, be warned!  Until payment is received you are not registered.  Date of registration will be the date when monies are actually received. (Translation:  no dance.  'nuff said).

Please make out checks payable to BACDS and mail to: Fall Ball, c/o Loretta Guarino Reid, 879 Loma Verde, Palo Alto, CA 94303-4115.

Please be sure to complete all information to prevent delays.

Name badge should read:  
Name #2:  
Name #2 badge should read:  
Email address:  
Street Address:  
Zip/Postal code:  

YES! Please send me news and invitations to future Fall Ball events (about 2-3 emails a year)

Extra hands are needed to make this truly a enjoyable event - see our volunteer suggestions.  If you have specifics things you can/can't do, please note them in comments below:

I can help before the day of the Ball; at the workshop; with refreshments; with set-up; with clean-up.

We: can offer / will need hospitality/rides for out-of-area guests.

For the potluck buffet I will bring something savory; bring something sweet; enclose a donation ($5-$8 per person suggested).

Advance registration by November 7th is only $28 per person; after that (and at the door) $35 per person.  (contact us if you'd like to attend but these costs cause you difficulty).

 Please fill in the amounts and make sure your math is correct:

Quantity Amount
Admission to the Ball (includes workshop, $28/$35):  
Admission to Workshop only ($15 per person):  
Buffet contributions (optional $5-$8 each suggested):  
Your tax-deductible donation to support Fall Ball is much appreciated    

Please add any additional comments about your registration (optional):

Please add any suggestions about this registration form (optional):

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Revised:  10/03/2011